Minsun James Song, DDS, PLLC.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MINSUN JAMES SONG, DDS, PLLC.

Practice address

7808 Pacific Ave Ste 5
Tacoma, WA 98408-7039

Phone

(253) 474-9509

Fax

(253) 314-5843

NPI assigned

Oct 13, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Minsun James Song, DDSNPI 1134728074

Title

Owner

Phone

(253) 993-6376

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Minsun James Song, DDS

  • General Practice Dentistry
  • Anchorage, AK
  • NPI 1134728074
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1801762208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 191ST STREET CT E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983874604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7808 PACIFIC AVE STE 5",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087039",
            "telephone_number": "253-474-9509",
            "fax_number": "253-314-5843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4125 49th Ave NE Ste D",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984222423",
            "country_code": "US",
            "telephone_number": "253-952-2200",
            "fax_number": "253-944-9067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINSUN JAMES SONG, DDS, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "MINSUN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-993-6376",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles K Minn, M.D.
• Mino Ode' Counseling PLLC
• Sarah Minor, PY
• Melody Wanda Minott, LPN
• Jamie Rosario Minshull, LICSW
• Sherrie Minter, LMP
• Thomas J Minter, MD
• Sierra Minton, MS, OTR/L
• Sam Mintz
• Kayla Elizabeth Minushkin

• Dental Clinic/Center in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.